Organization
NEXUS
Active
Other names
Nexus Glen Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HUTCHINSON MSW (CFO)
(763) 551-8640
Entity
Organization
Contact information
Practice address
14300 COUNTY ROAD 62, MINNETONKA, MN 55345-6706
(320) 532-4005
(320) 532-4898
Mailing address
407 130TH AVE S, ONAMIA, MN 56359-3115
(320) 532-4005
(320) 532-4898
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
MN
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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